Individual provider Active NPI

Ashley Bayoumi, LPC

  • Professional Counselor
  • New Roads, LA
National Provider Identifier
1629469739
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4245 Issued in LA
Practice address
143 E Main St Unit 1
New Roads, LA 70760-3573
Phone
(225) 399-7905
Fax
(225) 754-4734
NPI assigned
Feb 11, 2015
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4245 LA
Professional Counselor 101YP2500X 4245 LA Primary

Addresses

Primary practice location

143 E Main St Unit 1
New Roads, LA 70760-3573

Mailing address

PO Box 1012
New Roads, LA 70760-1012
Phone (225) 399-7905

Other practice location 1

1215 Independence Blvd.
Building 5 Suite B
Zachary, LA 70791
Phone (225) 399-7905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223002226 LA Practitioner - Mental Health Counselor 6608226477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4245LAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Innis Community Health Center, Inc CurrentSince Jan 3, 2024 Accepting new patients
Innis Community Health Center, Inc CurrentSince Jan 3, 2024 Accepting new patients
Innis Community Health Center, Inc Past Accepting new patients

Locations

6450 LA Highway 1
Batchelor, LA 70715
Phone (225) 618-5015

8387 Newfield Dr
Livonia, LA 70755
Phone (225) 412-0202

8387 Newfield Dr
Ste B
Livonia, LA 70755
Phone (225) 412-0202

230 Roberts Dr
Ste H
New Roads, LA 70760
Phone (225) 618-7800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1629469739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707601012",
            "telephone_number": "225-399-7905",
            "fax_number": "225-754-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E MAIN ST UNIT 1",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707603573",
            "telephone_number": "225-399-7905",
            "fax_number": "225-754-4734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Independence Blvd.",
            "address_2": "Building 5 Suite B",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "70791",
            "country_code": "US",
            "telephone_number": "225-399-7905",
            "fax_number": "225-754-4734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYOUMI",
        "first_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "4245",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Roads, LA

Sources for this page

Verify at the official NPI Registry.